Travel Survey

Please allow us at least 3 weeks to plan your Surprise trip. If you need to travel sooner than that, please contact us.

Contact Info

Name*

FirstLast

Email*

Phone

Travel Survey

Would you like to drive?

I would like to drive myself to my destination.

I do not want to drive to my destination.

You have chosen a Solo / Group Road Trip Adventure. This trip requires that you arrive at your destination of your own accord. We do not provide transportation arrangements for this option. If you plan to drive yourself, you acknowledge below that you have your own transportation and a valid driver’s license.

I confirm I have a valid driver’s license with transportation to my destination.

Are there any places in the U.S. that you do not want to go to? Please list below.

(Places you have been recently or plan to visit in the near future? Places you have lived, ​travel to often, or just plain don't like? Don't worry, we won't judge and we won't send you there!)

Places you do not wish to visit

Are you interested in traveling internationally?

Yes

No

Canada?

Yes

No

Have you had a DUI in the past 10 years? (Sorry to be nosey, we don’t really care, but Canada does)

Yes

No

Do you have a Passport of Enhanced ID (NY residents only)?

Yes

No

When does it expire?

Mexico

Yes

No

Do you have a passport?

Yes

No

When does it expire?

Travel Preferences

Departure Travel Date

Date Format: MM slash DD slash YYYY

Return Travel Date

Date Format: MM slash DD slash YYYY

When I travel I prefer to travel during these times if possible.

Early AM

Late AM

Afternoon

Early Evening

Late Evening

Red Eye

I prefer to travel by:

Plane

Train

Bus

Car

Bike

My Goal on this trip is…

Catch Some R&R

I wanna soak up the sun!

Experience the city like a Local

I crave Action and Adventure

Break out the camera and the fanny pack, I'm touring the city!

I prefer to stay in the following:

Hotel

Bed & Breakfast

Cabin / Lodge

Surprise Me

Room Preference

Single Room

Double Room

Are you planning this trip for a special occasion?

Yes

No

What is the occasion?

Is there anything else we MUST know about your travel preferences / requirements?

We give you a suggested list of places to eat and things to do in the area. Do you have any food allergies or culinary restrictions / preferences we should know about? If there are any restrictions or special needs that you want us to take into consideration when planning your trip, please list them below. (ex. dietary restrictions, wheel chair accessible, physical limitations, etc.)

My Bucket List and Interests

My Bucket List Includes the Following:

Sky Diving

Horseback Riding

Swim with the Dolphins

Hot Air Balloon Ride

Scuba Diving

White Water Rafting

Rappelling

Climb a Mountain

Northern Lights

Route 66

John Muir Trail

Grand Canyon

Paranormal Experiences

Yellowstone / Old Faithful

Sequoia National Forest

Hollywood / Filming Locations

Kentucky Derby

Whale Watching

7 Wonders of the World

Appalachian Trail

Spelunking

Polar Plunge

Attend a Broadway Play

Hobbies / Interests

Nature / Hiking

Biking

Outdoor Activities

Fitness / Excerise

Shopping

Art Museums / Galleries

Historical Sites / Museums

Broadway Play, Opera or Theater

Sci-Fi / Fantasy

Comic Con

Comedy

Dancing / Clubs

Live Music

Sports

Spas

Geocache

Fine Dining

Local Eateries

Breweries / Craft Beer

Wine Bars / Vineyards

Bakeries / Cafes

Gambling

Book Shops

Antique Shops

Flea Markets

Romantic Outings

Bus Tours / Wallking Tours

LGBTQ

What have you seen?

Prefer Red or White?

What is your beverage of choice?

What is your favorite spa treatment?

Is there anything else we must know about your hobbies or special interests we missed?